LUBE TECHNOLOGY-Lincoln Automotive

Lube Technology Lube Equip	PAYPAL TO EMAIL			Online Ordering and Secure Data and Privacy Policy.
PRICE	AVAILABILITY	SELECTION	CONVENIENCE	Mail: Lube Technology
4 ways to Order!!	Fax: 1-616-676-1287	TEL: 1-616-676-1792	Email:wmogrady@iserv.net	P.O. Box 456, Ada, MI. 49301

WILLMAR INTERNATIONAL/ LUBE TECHNOLOGY
MAIL/FAX Easy Order/Quote  Form
Print and use this form when requesting a Quote or Ordering by mail or fax(FAX: 1-616-676-1287)
Please Specify      Order_______       Quote ______

• Ship to : Name: _________________________________________________________
• Address: ______________________________________________________________
• City: _________________________________________ State: _____ Zip: __________
• Telephone: __________________________ Fax: ______________________________
• E-mail Address: _________________________________________________________
• Method of Payment: Money Order, Bank Draft, VISA, Master Card, Discover, AmExpress  ( circle one )
• Credit Card Number: ____________________________________ Exp. Date: _______
• Name on Card: _________________________________________________________
• Card Address:  _________________________________________________________
• City: __________________________________________ State: _____ Zip: _________
• Telephone: _________________________ Fax: _______________________________
• Authorized Signature: _______________________________________ Date:________

To Request additional information or a Quote, fill in the form above and mail or fax it to us.   Or just send us an email from this web page at the address below.  Please include your name, address, city, state, zip, and state your problem as clearly as possible

Contact us by mail or fax at: Address: Lube Technology / Willmar International   P.O. Box 456 Ada, MI. 49301 USA TELEPHONE: 616-676-1287 TELEPHONE: 616-676-1792 FAX: 616-676-1287